10,187 Chain-Owned Nursing Homes in the United States
10,187 of the 14,697 Medicare-certified nursing homes in the United States (69%) are chain-owned, and all are listed below. 1307 of the 10167 graded homes earn an A and 743 earn a D or F. They average 3.7 nursing hours per resident per day, 0.16 hours below the 3.86 for every home in the United States. Deerfield Health Care Center in Urbandale grades highest at A (100 out of 100).
How chain-owned homes in the United States compare
This group set against every nursing home in the United States, from the current CMS release.
Accura Healthcare of Creston runs 31 certified beds under for-profit limited liability ownership, and the numbers worth your attention are the staffing ones. Nurse coverage sits at 3.80 hours per resident day, a bit under the national average, and it thins out on weekends, roughly 18% below the home's own weekday level. Annual turnover of 68.4% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, including two at the harm level and one tied to abuse, with a $16,801 fine and a May 2025 inspection. State surveyors rated health inspections and quality measures 2 out of 5.
Spencer Post Acute Rehabilitation Center runs 82 certified beds as a for-profit corporation, and its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 45 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $24,706 in fines across two penalties. Its last inspection was August 14, 2025, and all three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.
Matthews Memorial runs 124 certified beds in Alexandria under for-profit LLC ownership, and the staffing numbers are the first thing to look at. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop roughly 17% below what the home staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 59.2% is well above the national 45.8%, meaning you'll likely see unfamiliar faces. The current record shows 33 deficiencies, including one at the harm level and one abuse-related, plus a $36,140 fine. Last inspection was December 2025. Ask about weekend coverage and how they've addressed the abuse finding.
Optalis Health and Rehabilitation of Troy runs 160 certified beds under corporate ownership, and its staffing looks adequate on paper, 3.94 nurse hours per resident day, just above the national average. The cracks show in the details: weekend staffing drops roughly 15% below its own weekday level, and 57.5% of staff leave each year, well above the 45.8% national rate. The inspection record is the harder problem. Sixty-seven deficiencies, including 7 at harm or jeopardy level and 8 abuse-related, with five fines totaling $388,982 and a health inspection rating of 1 out of 5. Quality measures score well, but that's a narrow slice of the picture.
Ruleville Community Care Center has 111 certified beds and runs on a for-profit LLC model. Its staffing looks fine on paper, 3.94 nurse hours per resident day sits slightly above the national average, but weekends drop about 18% below weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. That thin weekend coverage matters more when you look at what's on the record: 29 deficiencies, five at harm or jeopardy level, seven tied to abuse, and two fines totaling $101,474. The last inspection was August 2025. Staff turnover of 52.9% outpaces the national rate, meaning aides and nurses cycle through fast.
Gulfport Care Center runs 90 certified beds under corporate ownership, and its staffing numbers tell a mixed story. Total nurse coverage sits at 4.05 hours per resident day, about 5% above the national average, but weekends drop roughly 18% below its own weekday levels, and annual turnover hits 63.6% against a national 45.8%, meaning the people caring for residents are changing constantly.
The inspection record is the bigger concern: 22 deficiencies on file, five of them at harm or jeopardy level and two tied to abuse, with three fines totaling $24,281 and a health inspection rating of 1 out of 5. The last survey was June 5, 2025, so that record is recent. Quality measures also come in at 1 out of 5.
Adair Village runs 4.01 total nurse hours per resident day, which edges past the national average of 3.86, but that average masks a real drop on weekends, when coverage falls roughly 16% below its own weekday level. Staff turnover sits at 61.5% against a national 45.8%, so the people providing that care are cycling through quickly. The current record carries 34 deficiencies, three at harm or jeopardy level and two tied to abuse, plus $72,950 in fines across two penalties. The last inspection was January 2026, so the picture is recent. Quality and staffing each score 2 out of 5 from CMS; health inspection sits at 3.
Livingston Manor Care Center in Chillicothe runs a for-profit corporate operation with 94 certified beds, and its nurse staffing sits at 3.99 hours per resident day, about 3% above the national average of 3.86. That's the strongest number here, though weekends drop roughly 21% below the home's own weekday staffing, and annual turnover hits 61.9% against a national average of 45.8%. The inspection record is where it gets hard to ignore: 54 deficiencies on file, including four at the harm or jeopardy level and nine tied to abuse, plus a $114,365 fine. CMS rated health inspections and quality measures 1 out of 5, with staffing at 4. The most recent inspection was August 21, 2025.
St Patrick's Home runs on 3.38 nursing hours per resident day, roughly 12% under the national average, and the gap widens on weekends when coverage drops about 19% below its own weekday level. Staff turnover sits near 60%, well above the national figure, which matters because 18 deficiencies are on the current record, including one at the harm level and five tied to abuse. A $51,500 fine and a February 2024 inspection round out the picture. The quality measures look strong and the nonprofit church ownership is stable, but thin staffing and high turnover are the throughline here, the kind of thing that quietly shapes daily care.
Oak Grove Manor runs 3.32 nurse hours per resident per day, roughly 14% under the national average, and weekend coverage drops another 16% below its own weekday level. That thin schedule is hard to sustain when 68.1% of staff turned over in a year, against a national average of 45.8%, new faces constantly, on a unit that never gets extra hands. Inspectors have logged 71 deficiencies, two involving harm or jeopardy and two tied to abuse, with a $15,593 fine and a July 2025 inspection on record. The quality measure score looks strong, but that reflects charted care, not the staffing that delivers it.
Kadima Rehabilitation & Nursing At Harmony is a 115-bed for-profit home in Butler County, and the numbers behind its federal record are hard to dress up. Inspectors have cited 75 deficiencies, including two at the level where residents were actually harmed or put in immediate jeopardy, plus 11 tied to abuse, and two fines totaling $174,201 suggest the problems weren't paperwork. Staffing sits in the bottom tier nationally, and the most recent inspection was May 2025, so this isn't a stale record. Ownership is a limited liability company, which can make accountability harder to trace. One bright spot: the quality measure rating lands middle of the pack, meaning some clinical outcomes look average. But average care measures don't offset a staffing shortfall and that citation history.
Parkway Health and Rehabilitation Center runs about 3.14 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop another 16% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating of 2 out of 5, even though the quality measure score sits at 4. The inspection record is the bigger concern: 19 deficiencies, three at harm or jeopardy level and four tied to abuse, plus a $67,587 fine. Turnover at 38.9% is actually better than the 45.8% national figure, and the last inspection was recent, so the record reflects current conditions rather than old problems.
Signature Healthcare of Clarksville runs 120 beds as a for-profit limited liability company, and its latest inspection in May 2025 left seven deficiencies on the record, one serious enough to cause harm or jeopardy, another tied to abuse. The $63,105 fine reflects that. Staffing sits at 3.88 nurse hours per resident day, essentially even with the national average of 3.86, but weekends drop about 22% below the home's own weekday level, and turnover runs 76% against a national 45.8%. CMS gives it two stars each for health inspections and staffing, three for quality measures. The people who stay here the longest are leaving fastest, and coverage thins out exactly when families tend to visit.
Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.
Lancashire Post Acute runs lean on the floor: 2.55 nurse hours per resident day against a national average of 3.86, and weekends drop another 16% below its own weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 61.6%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The 5/5 quality measure score reflects good clinical documentation, but 28 deficiencies on record, three at harm level, two tied to abuse, and a $40,290 fine tell a different story. The last full inspection was February 2026. This for-profit LLC's numbers point to a home where the paperwork looks better than the staffing does.
Edenbrook Lakeside runs 145 beds in Milwaukee, and the staffing numbers are the first thing I'd look at. At 3.43 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 16% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 34 deficiencies, three at harm or jeopardy level, one abuse-related, and $138,434 in fines across two cases, with the last inspection in October 2024. Turnover at 41.4% is actually a bit better than average, which suggests the problem isn't retention so much as how many hands are on deck.
Oasis Nursing & Rehabilitation Center runs 130 certified beds in El Paso under corporate ownership, and its last inspection wrapped up in April 2025 with no harm-level or abuse-related deficiencies on the books. That's the good news. The staffing picture is where things get shaky: 3.40 nurse hours per resident day sits about 12% under the national average, weekends run roughly 15% lighter than weekdays, and annual turnover hit 94.8%, more than double the national rate. So you have a home that scores well on quality measures and inspection history, but with a workforce cycling through fast enough that consistent care is hard to guarantee. Ask how they cover weekends before you decide.
Huntsville Health Care Center runs 3.50 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday staffing. That thin weekend coverage matters more when turnover sits at 63.8%, well above the 45.8% national figure, because replacements are constantly learning the residents. The inspection record is a mixed picture: a June 2025 survey, 18 deficiencies total, including one at the harm level and two tied to abuse, plus a $14,069 fine. Four stars on health inspections shows the home can pass a survey, but two stars on staffing and 18 open deficiencies suggest the day-to-day care depends heavily on who shows up.
Songbird Lodge runs on thin staffing: 3.06 nurse hours per resident per day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. The bigger red flag is turnover, 98.8% annually, more than double the national 45.8%, which means the aides and nurses who know your mother's routines are largely gone within a year. Brownwood's hospital district owns the place, and the inspection record is recent (December 2025) with 18 deficiencies, none at harm level, plus one fine of $10,210. Its quality scores look strong and inspections are middling, but the staffing numbers tell you what day-to-day coverage probably feels like.
Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.
Frequently asked questions
How many chain-owned nursing homes are there in the United States?
There are 10,187 chain-owned Medicare-certified nursing homes in the United States, 69% of the 14,697 nursing homes there.
Are chain-owned nursing homes better staffed?
In the United States they average 3.7 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.16 hours. Staff turnover averages 46.8% against 45.8%.
Which chain-owned nursing home grades best in the United States?